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Practicing beautiful medicine beautifully: Hiram Curry's vision in the 21st century.

Hiram Curry's Vision and "Crossing the Quality Chasm" A generation after Hiram first spoke of "Practicing Beautiful Medicine Beautifully", with focus on medical science, understanding the patient and understanding the physician, his vision can be seen in the report's definition of quality care: "Good quality means providing patients with appropriate services in a technically competent manner, with good communication, shared decision-making, and cultural sensitivity." As we in medicine develop and adopt needed changes in the health care delivery, education, and financing systems we would do well to remember Hiram Curry's vision and strategies for "Practicing Beautiful Medicine Beautifully."

Family Practice↗

Beauty is as beauty does: body image and self-esteem of pageant contestants.

Self-esteem, dieting, and body image of 131 female beauty pageant contestants (mean age 26.0 years) from 43 states were examined by an anonymous survey. Most (89.6%) reported being a pageant finalist or winner and 55.2% had competed at the nationa/international level Over one-fourth (26%) of the women had been told or perceived they had an eating disorder which reportedly began at 16.25 years. Almost half (48.5%) reported wanting to be thinner and 57% were trying to lose weight. Higher self-esteem scores were significantly associated with increased level of competition (i.e.: from local to international pageants), but not with the number of times the women were pageant finalists or winners. Future study is warranted to determine how pageant participation influences self-esteem, body image, and the development of eating disorders.

Adolescent↗

Beauty is in the soul of the beholder: psychological implications of beauty and African American women.

The criteria for beauty in the United States are primarily based on Caucasian European American, middle-class standards. African American women tend to vary greatly from these criteria. Though very few studies have been conducted on the body image of Black women in the United States, historically, the physical images portrayed of African American women in the United States have not been positive. Mental health practitioners must understand how these negative images may affect the body image and self-esteem of African American women. Therapeutic and community interventions are discussed.

Adolescent↗

The sense of beauty.

This paper proposes an integrative psychoanalytic model of the sense of beauty. The following definition is used: beauty is an aspect of the experience of idealisation in which an object(s), sound(s) or concept(s) is believed to possess qualities of formal perfection. The psychoanalytic literature regarding beauty is explored in depth and fundamental similarities are stressed. The author goes on to discuss the following topics: (1) beauty as sublimation: beauty reconciles the polarisation of self and world; (2) idealisation and beauty: the love of beauty is an indication of the importance of idealisation during development; (3) beauty as an interactive process: the sense of beauty is interactive and intersubjective; (4) the aesthetic and non-aesthetic emotions: specific aesthetic emotions are experienced in response to the formal design of the beautiful object; (5) surrendering to beauty: beauty provides us with an occasion for transcendence and self-renewal; (6) beauty's restorative function: the preservation or restoration of the relationship to the good object is of utmost importance; (7) the self-integrative function of beauty: the sense of beauty can also reconcile and integrate self-states of fragmentation and depletion; (8) beauty as a defence: in psychopathology, beauty can function defensively for the expression of unconscious impulses and fantasies, or as protection against self-crisis; (9) beauty and mortality: the sense of beauty can alleviate anxiety regarding death and feelings of vulnerability. In closing the paper, the author offers a new understanding of Freud'semphasis on love of beauty as a defining trait of civilisation. For a people not to value beauty would mean that they cannot hope and cannot assert life over the inevitable and ubiquitous forces of entropy and death.

Art↗

Physical beauty: only skin deep?

Personal appearance and physical beauty are becoming increasingly important in our societies and, as a consequence, enter into the realm of medicine and health care. Adequate and just health care policies call for an understanding of this trend. The core question to be addressed concerns the very idea of beauty. In the following, a conceptual clarification is given in terms of beauty's meaning, value and function (i.e. beauty that is used instrumentally, and beauty that is attained). Furthermore, some relevant distinctions are drawn between physical and artistic beauty, and physical beauty in a human sense. The core idea for this is formed by a Kantian notion of the beauty concept. It is argued that beauty judgements should be understood as relative to persons and their contexts. Physical beauty should be taken seriously when it is understood in this deeper sense of being related to the shaping of a person's identity.

Beauty↗

Beauty and society.

Beauty is an abstract construct. We all have our own ideas about what is and is not beautiful--a particular song or painting, a man or woman. Accurately describing what exactly "it" is that makes the song, painting or person beautiful, however, is a daunting task. In this article, we attempt to make the case that beauty and physical attractiveness is a serious matter. We begin with a discussion of the role of beauty in evolutionary theory. Next, we turn to theories of the physiology of beauty, which focus on physical characteristics such as pathogen resistance, averageness, physical symmetry, body ratios, and youthfulness. We then describe changes in the societal standards of beauty through a discussion of the relatively recent history of mass media images of beauty. We then use the psychological construct of body image to begin to understand the nature of beauty on an individual level. The article concludes with a discussion of the things that we do to make ourselves more beautiful.

Beauty↗

Beauty bias in butterfly research and conservation.

Conservation biases have been documented since the first emergence of the concept of biodiversity in the 1980s,1,2,3 showing a systematic disproportion in the allocation of research and conservation efforts among taxa.4,5,6,7,8,9,10,11 One factor underlying this disproportion, gaining prominence in recent literature, is species' perceived beauty, shaped by human visual preferences.12,13,14,15,16,17 Here, we integrate a large-scale survey of the perceived beauty of European butterflies yielding >21,000 survey completions from >100 countries into a time-explicit network linking species' beauty, public attention, research and conservation efforts, and the EU regulatory framework. We found that species beauty is consistently associated with public attention, research, and conservation efforts in a temporally structured pattern compatible with a cumulative beauty bias. Research effort and public attention concentrate on widespread and visually attractive species, whereas species included in the legal conservation framework, particularly the Convention on the Conservation of European Wildlife and Natural Habitats (hereafter, Bern Convention, BC, 1979)18 and the EU Habitats Directive (hereafter, HD, 1992)19 are disproportionately represented by visually appealing and historically protected taxa. Because these frameworks guide funding and management actions, early associations between species beauty and BC/HD inclusion have contributed to long-lasting institutional patterns in butterfly research and conservation. By contrast, European IUCN Red Lists20,21 do not overrepresent beautiful species and identify more inconspicuous taxa as threatened. This mismatch reveals a tension between scientific assessments of extinction risk and historically embedded conservation priorities. Our findings suggest that recognizing beauty bias is vital for aligning conservation with actual ecological urgency. VIDEO ABSTRACT.

Animals↗

Darwinian aesthetics: sexual selection and the biology of beauty.

Current theoretical and empirical findings suggest that mate preferences are mainly cued on visual, vocal and chemical cues that reveal health including developmental health. Beautiful and irresistible features have evolved numerous times in plants and animals due to sexual selection, and such preferences and beauty standards provide evidence for the claim that human beauty and obsession with bodily beauty are mirrored in analogous traits and tendencies throughout the plant and animal kingdoms. Human beauty standards reflect our evolutionary distant and recent past and emphasize the role of health assessment in mate choice as reflected by analyses of the attractiveness of visual characters of the face and the body, but also of vocal and olfactory signals. Although beauty standards may vary between cultures and between times, we show in this review that the underlying selection pressures, which shaped the standards, are the same. Moreover we show that it is not the content of the standards that show evidence of convergence--it is the rules or how we construct beauty ideals that have universalities across cultures. These findings have implications for medical, social and biological sciences.

Animals↗

BEAUTY: an enhanced BLAST-based search tool that integrates multiple biological information resources into sequence similarity search results.

BEAUTY (BLAST enhanced alignment utility) is an enhanced version of the NCBI's BLAST data base search tool that facilitates identification of the functions of matched sequences. We have created new data bases of conserved regions and functional domains for protein sequences in NCBI's Entrez data base, and BEAUTY allows this information to be incorporated directly into BLAST search results. A Conserved Regions Data Base, containing the locations of conserved regions within Entrez protein sequences, was constructed by (1) clustering the entire data base into families, (2) aligning each family using our PIMA multiple sequence alignment program, and (3) scanning the multiple alignments to locate the conserved regions within each aligned sequence. A separate Annotated Domains Data Base was constructed by extracting the locations of all annotated domains and sites from sequences represented in the Entrez, PROSITE, BLOCKS, and PRINTS data bases. BEAUTY performs a BLAST search of those Entrez sequences with conserved regions and/or annotated domains. BEAUTY then uses the information from the Conserved Regions and Annotated Domains data bases to generate, for each matched sequence, a schematic display that allows one to directly compare the relative locations of (1) the conserved regions, (2) annotated domains and sites, and (3) the locally aligned regions matched in the BLAST search. In addition, BEAUTY search results include World-Wide Web hypertext links to a number of external data bases that provide a variety of additional types of information on the function of matched sequences. This convenient integration of protein families, conserved regions, annotated domains, alignment displays, and World-Wide Web resources greatly enhances the biological informativeness of sequence similarity searches. BEAUTY searches can be performed remotely on our system using the "BCM Search Launcher" World-Wide Web pages (URL is < http:/ /gc.bcm.tmc.edu:8088/ search-launcher/launcher.html > ).

Amino Acid Sequence↗

Esthetic dentistry in the twenty-first century. Healthy beauty.

The goal of esthetic dentistry in the twenty-first century is to attain healthy beauty by harmonizing morphology and function. Morphologic beauty is achieved by using restorative techniques such as ceramo-metal restoration, all-ceramic restoration, laminate veneer, bleaching, and the treatment of malocclusion. Functional beauty is obtained by facilitating the primary functions of the stomatognathic organ, namely, mastication, speech, and craniomandibular stability. In the next century, esthetic dentistry must combine the present focus of morphologic beauty with the goals of functional beauty to attain true, healthy beauty.

Adult↗

Birkhoff revisited: beauty as a function of effect and means.

The beauty of visual patterns is quantified, starting from the assumption that beauty is maximal when a maximum of effect is attained with a minimum of means applied. Birkhoff has based his theory of beauty on this assumption, but his specification of means and effect differs from the one presented here. In our conception, effect is specified as the number of independent regularities (R) of a pattern not accounted for by the simplest interpretation of the pattern. This variable is closely allied to the concept of conjunctive ambiguity. The irregularities of a pattern that are not constrained by additional regularities (P) make up the means term of the means-effect analogy. An index of beauty (M) is defined, M = R - P. It is shown that there is substantial correlation between M and preference judgments for a set of Birkhoff's polygons. It is further demonstrated that M has relevance to describe properties of the relation of beauty to complexity, data of experiments on the aesthetic attractivity of combinations of patterns, and preferences for certain proportions of simple figures above others.

Art↗

Use of hormone replacement therapy: women's representations of menopause and beauty care practices.

OBJECTIVES: Hormone replacement therapy (HRT) during menopause has been shown to have beneficial effects on women's health, including preventing osteoporosis and probably reducing cardiovascular mortality and morbidity. However, these effects appear only after long use. Knowledge of factors influencing HRT use is a prerequisite for developing and assessing preventive actions. Most studies of user characteristics have focused on medical knowledge and socioeconomic characteristics, although social and cultural models of menopause may also play a role. Therefore, our study of the determinants of HRT use focused on representations of menopause and on beauty care. METHODS: Two scores, one concerning the level of beauty care and the other the representations of menopause, were calculated. In our population of 561 postmenopausal women from the GAZEL cohort in France, 409 (72.9%) had been using HRT for more than one year, and 152 (27.1%) had used it for less than three months, if ever. Associations between the study variables and HRT use were then analysed. RESULTS: No association was found between representations of menopause and HRT use. Beauty care and some beliefs about HRT (i. e. that it is useful for osteoporosis prevention, causes resumption of menstruation, and has anti-aging effects) were independently associated with HRT use. Moreover, the proportion of HRT users increased with socioeconomic status, with vasomotor symptoms in early menopause, and among hysterectomised women. CONCLUSIONS: The results suggest that the amount of attention women pay to beauty care plays a role, in determining HRT use.

Beauty↗

What makes bodies beautiful.

Health and beauty are the most important physical ideals. This paper seeks to compare and contrast these ideals, based on a value theory of human abilities. Health is comprehended as a potential ability to act grounded in bodily functions. Beauty is explained as a symbolising reference to happiness, physical beauty as a combination of organic orientation to purpose and virtuous orientation to action. Physical beauty is the implicit symbolic expression of mental and physical health. This teleological theory is tested and exemplified using current stereotypes such as youthfulness, slimness and shapeliness.

Beauty↗